Individual
MRS. NICOLE CARRIN THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
905 E ESCUDA DR, PHOENIX, AZ 85024-1142
(209) 743-0704
Mailing address
905 E ESCUDA DR, PHOENIX, AZ 85024-1142
(209) 743-0704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 4924
AZ
Other
Enumeration date
04/14/2010
Last updated
08/30/2012
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